Mr Tharon B Holmberg, CRNP in Buffalo, NY - Medicare Nurse Practitioner

Mr Tharon B Holmberg, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Buffalo, New York. He graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Medical Director Services Pc, Patient First Medical Practice Pc, Ivy Medical Group Pllc, Medical Director Services Pc, Patient First Medical Practice Pc, Ivy Medical Group Pllc, Medical Director Services Pc, Ivy Medical Group Pllc, Patient First Medical Practice Pc and his current practice location is 701 Seneca St Ste 646c, Buffalo, New York. You can reach out to his office (for appointments etc.) via phone at (716) 995-4450.

Mr Tharon B Holmberg is licensed to practice in New York (license number 307563) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871741785.

Contact Information

	Mr Tharon B Holmberg, CRNP
	701 Seneca St Ste 646c, Buffalo, NY 14210-1372
	(716) 995-4450
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Tharon B Holmberg
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	701 Seneca St Ste 646c, Buffalo, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Tharon B Holmberg graduated from nursing school in 2015

NPI Data:

NPI Number: 1871741785
Provider Enumeration Date: 09/04/2008
Last Update Date: 09/16/2022

Medicare PECOS Information:

PECOS PAC ID: 0749357341
Enrollment ID: I20110330000110

Medical Identifiers

Medical identifiers for Mr Tharon B Holmberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871741785	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP009917 (Pennsylvania)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	307563 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Director Services Pc	0042501116	43
Patient First Medical Practice Pc	0042687006	31
Ivy Medical Group Pllc	4981097797	96
Medical Director Services Pc	0042501116	43
Patient First Medical Practice Pc	0042687006	31
Ivy Medical Group Pllc	4981097797	96
Medical Director Services Pc	0042501116	43
Ivy Medical Group Pllc	4981097797	96
Patient First Medical Practice Pc	0042687006	31

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Tharon B Holmberg allows following entities to bill medicare on his behalf.

Entity Name	Medical Director Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20240105000107

Entity Name	Ivy Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700558798 PECOS PAC ID: 4981097797 Enrollment ID: O20241227001555

Entity Name	Patient First Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255067955 PECOS PAC ID: 0042687006 Enrollment ID: O20250407003804

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Tharon B Holmberg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Tharon B Holmberg, CRNP 1 Penn Plz, 8th Floor, New York, NY 10119-0002 Ph: (570) 452-2138	Mr Tharon B Holmberg, CRNP 701 Seneca St Ste 646c, Buffalo, NY 14210-1372 Ph: (716) 995-4450

Reviews and Comments

Nurse Practitioner Nurses in Buffalo, NY

Mr. V. Thomas Chapin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3000
Beth Lyn Vaccarelli, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210 Phone: 716-995-4450
Ms. Denise Marie Donahue, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 High St, Buffalo, NY 14203 Phone: 716-859-5600
Mr. Jerry L Corp Ii, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 Delaware Ave, Buffalo, NY 14202 Phone: 716-884-0888
Stephanie Erin Myszka, F.N.P.- BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton St, Buffalo, NY 14263 Phone: 716-845-2300
Jessica Lynn Hafezi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Elm And Carlton Streets, Buffalo, NY 14263 Phone: 716-845-2300
Yevgeniya S Lipina, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Seneca St Ste 646c, Buffalo, NY 14210 Phone: 716-995-4450 Fax: 844-206-7424

Mr Tharon B Holmberg, CRNP - Medicare Nurse Practitioner in Buffalo, NY